[Question #9573] Possibly Seronegative?

31 months ago

Hello experts,

I know how unlikely it is to be seronegative with HIV, but I wanted to share my case:

In June of last year, I had an unprotected encounter with a MTF (post op). In October, I developed oral thrush, lost significant weight, and became chronically fatigued.

Here’s the catch: I’ve tested negative on multiple HIV tests post 3 months exposure including rapid tests, antibody/antigen tests, and an RNA qualitative and quantitative (undetected).

While I’ve gotten all these negatives, I’ve gotten physically worse. In fact, I developed a toe fungus, abdominal pain, and esophagitis since December.

Despite these symptoms, and my attempts to contact a local Infectious Disease specialist, none of my doctors seemed concern.

While I’d much rather be negative and not dealing with AIDS, I’m not sure what to do in this situation.

Any advice is greatly appreciated.

Thanks.

Edward W. Hook M.D.

31 months ago

Welcome to the Forum and thanks for your questions. I’ll be glad to comment. Please remember that the symptoms you describe could occur for many different reasons and that tests are used to help determine the cause of symptoms. In your case you have been tested repeatedly with highly reliable tests for HIV. If you were infected they would all be positive. I can assure you that the problems you describe are not due to HIV. If you are having trouble accepting this fact, then I’d encourage you to work with a trained counselor to determine why you are having trouble accepting your test results. EWH ---

31 months ago

Dr. Hook,

Thanks for your answer.

I’m concerned about possible candidiasis of the esophagus (I’m waiting on the biopsy results).

If they test positive for candida, what might be the plan moving forward?

Thanks again.